Exam 27: Role Transition

During an employment interview for the manager's position in a home health agency,the applicant asks questions about the medical director and about retention of staff.The nurse executive assures the applicant that the agency has few personnel problems and receives excellent support from the medical director.The applicant knows that the agency has a 50% turnover rate and has had three medical directors in the past year.The nurse executive is:

A nurse manager notices that Nathan,an RN who has been on the unit for approximately 3 years,has a particular interest in technology and seems to be very enthused about working with software and hardware at home.She speaks with Nathan and asks him if he would lead investigation of software applications on the unit.This is an example of:

The new nurse manager feels pulled between the expectations of staff,the demands of hospital administrators,and family obligations.According to Hardy (1978),unrelieved role stress and strain will lead to:

In assisting new graduates to make the role transition to graduate nurse,Ted,the unit manager initiates which of the following?

John,a new nurse manager,complains to his colleague that he feels very uncomfortable with the conflict between what he thinks he should be doing as the manager and what his supervisor thinks he should be doing.According to Hardy's Role Theory,John is experiencing:

Seth is hired as the nurse manager for a surgical unit.After a year,the hospital reorganizes,and his position is lost.In leaving the unit,it is important for Seth to:

The chief nursing officer develops a mentoring program to help new staff members adjust to their new jobs.The main purpose of mentoring is:

The nurse manager of a unit was demoted to staff nurse 6 months ago.Because of being near retirement,the former nurse manager wanted to be employed at the hospital and was offered a position on the same unit.The former nurse manager complains often about how infrequently the current nurse manager is available on the unit and argues with physicians and co-workers.Clients have complained about the attitude of the nurse.The behavior of the former nurse manager can be best explained as being caused by:

An interviewee for a nurse manager position asks for a copy of the organizational chart.Organizational charts provide information about the role component of:

A nurse manager in one hospital values a colleague who is a few years older and has more experience in nursing management.The colleague works in another hospital,but they meet for lunch once a month.In these meetings,they share their feelings about nursing management and their lives.The function of a mentor that is missing in the relationship is:

Sarah (Question 11)finds that she has begun to think negatively about the way nursing care is delivered on her nursing unit.She often wishes that she was back on her old unit and in her familiar staff nurse role.This behavior: 

A nurse is interviewing for a manager's position.Which of the following actions is considered a role preview?

In addition to providing coaching,a nurse mentor may provide counseling to the mentee.For counseling to be successful,the mentor must:

The unit leader on an inpatient psychiatric unit of a large hospital has been in the position for 3 months.The unit leader is frustrated by how little time is available to work with clients and how few changes have been implemented in that time.The phase of role transition being experienced is the role of:

The head nurse and the administrator of a cardiac telemetry unit disagree on how much time the head nurse should allot to various aspects of the role.Staff members on the unit complain that the head nurse is unavailable for clinical concerns because of being off the unit while attending meetings.To facilitate the process of role transition,the head nurse should:

A strategy that may help Sarah (Question 11)to make the transition to her management role and to respond to relationships and situations in her new position is:

As a result of Amy's coaching,Sarah (Question 16)completes a ROLES assessment.This assessment is helpful in

After several months in the role of manager of a dialysis unit,Maryanne finds herself still questioning the gap in expectations between her and her staff and management and is also questioning if she can reconcile her concerns with quality care with the strong cost containment orientation of the facility.At this point,Maryanne is in which stage of role transition?

After a year,Sarah (Question 11)successfully transitions into the nurse manager role and considers taking the examination to become a certified nurse executive.Amy advises her that this is not possible because Sarah will need:

Sarah (Question 11)finds that she is comfortable with the expectations of staff and her supervisor regarding her management role and responsibilities and has been able to effect a strong commitment to quality clinical care on the unit.At this point,Sarah has likely attained this role: